NPI | 1629326210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP# 3364) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8582) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2016-11-04 |